{"npi":"1669437836","type":"NPI-1","status":"active","name":{"display":"Jeffrey Weisberg PA","other":[{"code":"5","type":"Also known as","value":"WEISBERG, JEFFREY SCOTT"}],"first":"JEFFREY","last":"WEISBERG","middle":"S","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"VA","license":"0110008761"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"FL","license":"PA3515"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"CO","license":"4090"}]},"addresses":[{"purpose":"LOCATION","street_1":"3601 W 13 MILE RD","city":"ROYAL OAK","state":"MI","postal_code":"480736712","country_code":"US","phone":"2488981994"},{"purpose":"MAILING","street_1":"4900 S MONACO ST STE 210","city":"DENVER","state":"CO","postal_code":"802373487","country_code":"US","phone":"3032264650","fax":"3037516069"}],"license":{"state":"VA","number":"0110008761"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"87123576","state":"CO","issuer":null},{"type_code":"05","label":"Medicaid","value":"290732100","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220412001331","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"DE","pac_id":"8527031350"},{"enrlmt_id":"I20221004002804","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"8527031350"},{"enrlmt_id":"I20240325000492","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"DC","pac_id":"8527031350"},{"enrlmt_id":"I20250318001185","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"VA","pac_id":"8527031350"}]},"enumeration_date":"2006-04-19","last_updated":"2026-02-06","_meta":{"source":"NPPES","snapshot_date":"2026-02-06","doc_url":"https://findmynpi.com/api"}}